Extract
Question: In patients having high tibial osteotomy, how do lateral
closing-wedge and medial opening-wedge techniques compare with regard to
achievement and maintenance of correction?Design: Randomized (allocation
concealed)*, unblinded,
controlled trial with 1-year follow-up.*Information provided by author.Setting: A university medical center in Rotterdam, The
Netherlands.Patients: 92 patients (mean age 50 y, 64% men) with radiographic
evidence of medial compartment osteoarthritis of the knee with medial joint
pain and varus malalignment. Patients with symptomatic osteoarthritis of the
lateral compartment, rheumatoid arthritis, range of movement of <100°,
grade-3 collateral ligament laxity, history of fracture or previous open
operation of the lower limb, or a flexion contracture of >10° were
excluded. Patients in whom both knees were symptomatic had only the first knee
included. 91 patients (99%) completed the study.